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LEO PRESTON
NPI 1174160378
Counselor - Addiction (Substance Use Disorder) in Grand Rapids, MI

Active since December 06, 2019PECOS Enrolled
3300 36TH ST SE, GRAND RAPIDS, MI 49512(616) 942-2110 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leo Preston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEO PRESTON (NPI 1174160378) is an individual addiction (substance use disorder) provider in Grand Rapids, Michigan and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174160378
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLEO PRESTON
Location Address3300 36TH ST SEGrand Rapids, MI 49512-2810
Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (616) 942-2110
Phone(616) 942-2110
Sole ProprietorNo
Enumeration DateDecember 6, 2019
✔ NPI 1174160378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3300 36TH ST SE, Grand Rapids, MI 49512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leo Preston is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE E. KUNNEN DNP, FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MEGAN ELINOR JOHNSON BCBA
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2810
MALINNA I MACK
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
ALEIGHA DROUGHN
Behavior Analyst
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MATTHEW JOHN MANNIKKO
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CLARISSA LEE GREER
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
MARGARET GRACE GILLICH
Behavior Technician
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110
CATHERINE ROSE KUIPERS RN
Student in an Organized Health Care Education/Training Program
3300 36TH ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 942-2110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leo Preston's NPI number?

The NPI number for Leo Preston is 1174160378. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Leo Preston located?

Leo Preston practices at 3300 36th St SE, Grand Rapids, MI 49512. The listed phone number is (616) 942-2110.

What is Leo Preston's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Leo Preston enrolled in Medicare?

Yes. Leo Preston is registered in the Medicare PECOS enrollment system.

What insurance does Leo Preston accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Leo Preston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leo Preston was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.